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General NPI Number Information
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NPI Number | 1053749796
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Entity Type | Individual
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Provider Name | KAFILAT OLAJMOKE SALAWU NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 3330 PRESTON RIDGE RD SUITE 110
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City | ALPHARETTA
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State | GA
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Zip | 30005-4508
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Country | US
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Telephone | 678-566-6995
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Fax | 678-566-0346
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Provider Business Mailing Address
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Address Line | 1835 SAVOY DR SUITE 300
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City | ATLANTA
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State | GA
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Zip | 30341-1072
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Country | US
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Telephone | 678-566-6995
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Fax | 678-566-0346
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN210374
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License Number State | GA
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